Lumbar Facet and Medial Branch Block

  • Sameer Jain
  • Jonathan Hagedorn
  • Jay M. Shah
  • Ajax Yang


Chronic low back pain (LBP) is among the most prevalent causes of medical disability in the world. About two-thirds of the population suffers from LBP at some point in their life. The zygapophysial (facet) joint is a common source of LBP. First described in 1963, facet joint injections are the second most commonly performed pain interventions nationwide. Lumbar facet intra-articular injection and medial branch blocks are commonly used for diagnosis and treatment of facetogenic pain. This chapter will describe the common uses and indications, procedural techniques, evidence for efficacy, and some pearls and pitfalls for safely and effectively performing these procedures.


Facet block Medial branch block Facet syndrome Facetogenic pain Facet joint Zygapophysial joint block Axial low back pain Facet denervation 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sameer Jain
    • 1
  • Jonathan Hagedorn
    • 2
  • Jay M. Shah
    • 3
  • Ajax Yang
    • 4
  1. 1.Department of Pain MedicinePain Treatment Centers of AmericaLittle RockUSA
  2. 2.Department of Pain MedicineMayo ClinicRochesterUSA
  3. 3.Department of Pain MedicineWeill-Cornell Tri-Institutional Pain ProgramNew YorkUSA
  4. 4.Department of Rehabilitation MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA

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